Comparison of the Cyclic fatigue & the Cutting Efficiency of two Rotary NiTi Systems

Mostafa Kandil, Ehab Hassanien, S. Fahmy
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Abstract

Purpose: This study compares cyclic fatigue and cutting efficiency of two types of NiTi Rotary files, namely AF one files with a constant 4% taper and Hyflex EDM Files with a variable taper. Materials and Methods: Forty files, twenty of each brand, were examined under a microscope to ensure their integrity before testing. The evaluation focused on cyclic fatigue and cutting efficiency. Cyclic fatigue testing utilized a specialized block simulating dental canals, following Grande et al.’s prescribed design. Lubricating oil flooded the artificial canals, and files were tested at specified RPM and torque until breakage, with recorded breakage times. Cutting efficiency testing involved using plexiglass blocks, and measuring the length of cut during 1 minute. A dedicated device facilitated testing, including an air compressor for debris clearance. Results: Data from both tests were collected and analyzed, revealing that Hyflex EDM files demonstrated superior resistance to cyclic fatigue compared to AF one files(p<0.001). However, AF one files exhibited higher cutting efficiency than Hyflex EDM (p= 0.001), with statistically significant differences in both results. These findings are crucial for dentists in making informed decisions about the choice of files for root canal treatment in their practice.
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两种旋转镍钛系统的循环疲劳和切割效率比较
目的:本研究比较了两种类型的镍钛旋转锉(即锥度恒定为 4% 的 AF one 锉刀和锥度可变的 Hyflex EDM 锉刀)的循环疲劳和切削效率。材料和方法:测试前在显微镜下检查了 40 把锉刀,每个品牌各 20 把,以确保其完整性。评估的重点是循环疲劳和切割效率。根据格兰德等人的规定设计,循环疲劳测试使用了一个模拟牙槽骨的专用块。润滑油渗入人工牙槽骨,锉刀在规定的转速和扭矩下进行测试,直至断裂,并记录断裂时间。切割效率测试包括使用有机玻璃块,测量 1 分钟内的切割长度。专用设备为测试提供了便利,包括用于清除碎屑的空气压缩机。结果:收集并分析了这两项测试的数据,结果显示 Hyflex EDM 锉刀的抗循环疲劳性能优于 AF one 锉刀(p<0.001)。不过,AF one 锉刀的切割效率高于 Hyflex EDM(p= 0.001),两者在统计学上有显著差异。这些发现对牙医在选择根管治疗锉时做出明智的决定至关重要。
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